| NPI | 1568696185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY T. WISE V.P. Laboratory Operations 512-610-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2009-05-11 |
| Last Update Date | 2009-08-13 |